Individual provider Active NPI

Alan Marc Bienstock, MD

  • Plastic Surgery Physician
  • New York, NY
National Provider Identifier
1811900426
Registry record updated Nov 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
234485 Issued in NY
Practice address
150 Broadway
RM 1110
New York, NY 10038-4357
Phone
(917) 257-7560
Fax
(212) 962-1246
NPI assigned
Aug 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 234485 NY Primary
Plastic Surgery Physician 208200000X 25MA07827500 NJ

Addresses

Primary practice location

150 Broadway
RM 1110
New York, NY 10038-4357

Mailing address

150 Broadway
RM 1110
New York, NY 10038-4357
Phone (917) 257-7560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
13.28 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
44.28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
234485NYMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Goldman Dermatology, PLLC PastSince Jun 17, 2005 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478476800000",
    "number": "1811900426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 BROADWAY",
            "address_2": "RM 1110",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100384357",
            "telephone_number": "917-257-7560",
            "fax_number": "212-962-1246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BROADWAY",
            "address_2": "RM 1110",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100384357",
            "telephone_number": "917-257-7560",
            "fax_number": "212-962-1246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIENSTOCK",
        "first_name": "ALAN",
        "middle_name": "MARC",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2016-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "234485",
            "primary": true
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NJ",
            "license": "25MA07827500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.